Investigation on relationship between self-management and diet pattern in adults with type 1 diabetes
Sihui Luo, Daizhi Yang, Qiongyan Lin, Xueying Wei, Ping Ling, Jinhua Yan, Bin Yao, Jianping Weng, Xueying Zheng
Abstract
ObjectiveTo investigate the relationship between self-management and dietary pattern among adults patients with type 1 diabetes mellitus (T1DM) by a Chinese version of the Summary of Diabetes Self-Care Activities Measure scale (C-SDSCA) and a short food frequency questionnaire (FFQ).
MethodsC-SDSCA scale and FFQ were performed on 100 adult T1DM patients recruited from Guangdong T1DM Translational Medicine Study from April to October in 2018. According to the score of C-SDSCA scale, patients were divided into three groups by self-management: excellent, moderate and poor behaviors. Dietary pattern of the participants was classified as appropriate/inappropriate based on the results of FFQ. Differences between groups were comparedusing t-test,ANOVA test or chi-square test, when applicable. The effect of self-management behavior on dietary pattern was analyzed using multivariate logistic regression model.
ResultsIn total, 100 patients responded and 93 provided eligible responses. The average score of C-SDSCA scale was 59%, while only 25.8% (24/93) of the subjects had appropriate dietary patterns. Compared with patients with appropriate dietary patterns, those with in appropriate ones had significantly elevated level of HbA1c [(7.4±1.1)% vs (6.9±1.0)%, t=-2.08,P=0.04]. The scores of C-SDSCA were higher in the group of patients with appropriate diet patterns comparing to those with inappropriate ones (45.63±11.71 vs 35.03±11.73,t=3.81,P<0.01). In the group of excellent self-management behaviors,55.6% (10/18) patients had appropriate dietary patterns,but the ratio were only 22.0% (13/59) and 6.2% (1/16) in the groups with moderate and poor self-management behaviors,respectively. Results from logistic regression shows that deterioration in self-management level by one category was associated with a 4.78-fold increase in the risk of inappropriate dietary pattern (OR=4.78, 95%CI 1.71-13.34, P<0.01).
ConclusionsCurrent situation of self-managing behaviors and dietary patterns of adult patients with T1DM were not ideal. It was found that appropriate dietary pattern was associated with better glycemic control and better self-managing behaviors, indicating that more attention should be paid to diet education in patients who have poorer self-management behaviors.
Key words:
Diabetes mellitus, type 1; Self-management; Dietary pattern
Contributor Information
Sihui Luo
Department of Endocrinology, the First Affiliated Hospital, University of Science and Technology of China (Anhui Provincial Hospital), Hefei 230001, China
Department of Endocrinology and Metabolism, the Third Affiliation Hospital of Sun Yat-sen University, Guangdong Diabetes Prevention and Control Research Center Guangdong Provincial Key Laboratoryof Diabetology, Guangzhou 510630, China
Daizhi Yang
Department of Endocrinology and Metabolism, the Third Affiliation Hospital of Sun Yat-sen University, Guangdong Diabetes Prevention and Control Research Center Guangdong Provincial Key Laboratoryof Diabetology, Guangzhou 510630, China
Qiongyan Lin
Department of Endocrinology and Metabolism, the Third Affiliation Hospital of Sun Yat-sen University, Guangdong Diabetes Prevention and Control Research Center Guangdong Provincial Key Laboratoryof Diabetology, Guangzhou 510630, China
Xueying Wei
Department of Endocrinology and Metabolism, the Third Affiliation Hospital of Sun Yat-sen University, Guangdong Diabetes Prevention and Control Research Center Guangdong Provincial Key Laboratoryof Diabetology, Guangzhou 510630, China
Ping Ling
Department of Endocrinology and Metabolism, the Third Affiliation Hospital of Sun Yat-sen University, Guangdong Diabetes Prevention and Control Research Center Guangdong Provincial Key Laboratoryof Diabetology, Guangzhou 510630, China
Jinhua Yan
Department of Endocrinology and Metabolism, the Third Affiliation Hospital of Sun Yat-sen University, Guangdong Diabetes Prevention and Control Research Center Guangdong Provincial Key Laboratoryof Diabetology, Guangzhou 510630, China
Bin Yao
Department of Endocrinology and Metabolism, the Third Affiliation Hospital of Sun Yat-sen University, Guangdong Diabetes Prevention and Control Research Center Guangdong Provincial Key Laboratoryof Diabetology, Guangzhou 510630, China
Jianping Weng
Department of Endocrinology, the First Affiliated Hospital, University of Science and Technology of China (Anhui Provincial Hospital), Hefei 230001, China
Department of Endocrinology and Metabolism, the Third Affiliation Hospital of Sun Yat-sen University, Guangdong Diabetes Prevention and Control Research Center Guangdong Provincial Key Laboratoryof Diabetology, Guangzhou 510630, China
Xueying Zheng
Department of Endocrinology, the First Affiliated Hospital, University of Science and Technology of China (Anhui Provincial Hospital), Hefei 230001, China
Department of Endocrinology and Metabolism, the Third Affiliation Hospital of Sun Yat-sen University, Guangdong Diabetes Prevention and Control Research Center Guangdong Provincial Key Laboratoryof Diabetology, Guangzhou 510630, China
